Active NPI
A Step Above, LLC
- Adult Day Care Clinic/Center
- Antioch, CA
National Provider Identifier
1932733243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- A STEP ABOVE, LLC
- Practice address
- 3648 Delta Fair Blvd.
Antioch, CA 94509 - Phone
- (925) 481-2189
- Fax
- (925) 848-3614
- NPI assigned
- Feb 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Patrick Henry Manzano, BS, MBA
- Title
- Executive Director
- Phone
- (408) 981-8713
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
3648 Delta Fair Blvd.
Antioch, CA 94509
Mailing address
2111 Ocean Ave.
San Francisco, CA 94127
Phone (408) 981-8713
National Provider Directory
National Provider DirectoryLocations
3648 Delta Fair Blvd
Antioch, CA 94509
Phone (925) 481-2189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582588800000",
"number": "1932733243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 OCEAN AVE.",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94127",
"telephone_number": "408-981-8713",
"fax_number": "925-848-3614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3648 DELTA FAIR BLVD.",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "94509",
"telephone_number": "925-481-2189",
"fax_number": "925-848-3614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A STEP ABOVE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-25",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A",
"authorized_official_last_name": "MANZANO",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "408-981-8713",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BS, MBA"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.